What is the reason not to get a trigger shot? I have two femara babies (bfp femara cycle #1 for the first and cycle #2 for the second). I did a trigger shot though. It takes out a lot of guesswork (and with my most recent bfp which is #3 - I also did injectables, we triggered with 3-4 follicles which has some risk for multiples but also increases number of targets so chance that you have a good egg can be higher... with my other two femara only babies I only had one follicle though we still triggered).

I used femera on a couple unmonitored cycles and timed intercourse but was not successful. My successful femera cycle included trigger and IUI. My friend used femera and trigger with timed intercourse and is due in October. Good luck

you dont need a trigger if you ovulate on your own. my dr always had me start daily opk's when my follicles (got 2-4 follies with all 3 cycles i did) would reach around 15mm. I never surged on my own, so i always required a trigger. i did 2 femara/trigger/TI cycles and 1 femara/trigger/IUI. had great response to the meds, but no baby unfortunately. looking like i may have egg quality issues even though im only 29 ;/ so im taking a couple months off to regroup and then looking at trying injectibles/IUI vs IVF.

I just had a cycle with injectables and a trigger (not femara though). When the doctor felt I was close to ovulating based on my follicular ultrasounds and blood work they had me give myself a shot of hcg. That's the "trigger" for your body to ovulate. They had planned for me to trigger then come in in 2 days for IUI but I was close to ovulating on my own so I came in the next day

Trigger makes the egg release. I ovulate on my own but me RE felt I was ovulating before the egg fully matured leading to my miscarriages. The trigger shot allows for better timing of ovulation and helps schedule timing of YOU.

I would give genera a try for a couple of cycles and become more aggressive from there should you need to. With my Femara only cycles I still tempted and used opk's. I remember my temps showing a surge several days after the opk's did and called my RE because I felt things were off and he said ignore my temps. Come to find out the opk's were right not my temps. My monitored cycle for IUI I was surging the day of my u/s and lab work. I triggered then and had the IUI the next morning. Don't freak out if temps seems off. Good luck!

You could ask your RE his thoughts on trigger and whether he'd recommend it or not. Also if you want the guarantee of when you're going to ovulate (typically 24-48hrs post trigger) you could ask to have it, and it is a very standard addition to a femara : timed intercourse protocol so I would be surprised if he said no. We did it because ovulation was my issue and I wanted the control/ guarantee (especially after so much effort is put into a cycle with the ultrasound checks, etc). But it's certainly not a necessary addition for everyone.

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